HomeMy WebLinkAboutHAZ-WASTE REP 2/16/1990KENT ADNEY
RDOUS MATERIALS SUPERVISOR
ORNIA WATER SERVICE COMPANY
i ?20 NORTH FIRST STREET
SAN JOSE, CA 95fl2-4598
TELEPHONE
453-8414
AREA CODE 408
fAX 408-437-9i85
t I
CALIFORNIA
WATER SERVICE cO.
I
.I
~uMp
70 '
I
Ac. p~v~ ~
CALIFORNIA WATER SERVICE COlq~PANY
1720 NOI~TH FIaS? S?I~EEX * P. 0. BOX nS0 * S~'~ Jos'~-, CA 95108 * (408) 453-8414
· - D
RECuiVE
I'4A¥ 2 3 '1990'
H~Z. MAT. DIV.
May 21, 1990
Barbara Brenner
Hazardous Materials Planning Technician
The Bakersfield Fire Department
Hazardous MaterialS Division
2130 G Street
Bakersfield, CA 93301
Dear Ms. Brenner:
In response to your request for additional
materials information, please note that the
Service Company no longer handles gaseous
Bakersfield district.
acutely .hazardous
California Water
chlorine in our
If you have any questions, please give me a call.
Sincerely,
Kent Adney
Hazardous Materials Supervisor
cc:
Mr. B. D. Lewis
Mr. Mel Byrd
BUSINESS NAME CALIFORNIA WATER SERVICE COMPANY
LOCATION 3725 S H ST
1 . OVERV I EW
JURIS CODE
MAP PAGE 124
ID NUMBER 215-000-001361
HIGH HAZARD RATING 3
LAST CHANGE 02/09/89 BY VAL
215-005 JURIS BAKERSFIELD STATION 05
GRID 1SA FACILITY UNITS 1 HAZARD RATING 3
RESPONSE SUMMARY 2A SEC 4)
COMPANY PERSONNEL WOULD DEAL WITH ANY EMERGENCY IN CONCERT WITH LOCAL
EMERGENCY SERVICE AGENCIES~ ANY AND ALL REMOVAL OF A HAZARDOUS MATERIAL
WOULD BE CONDUCTED BY A PRIVATE COMPANY SPECIALIZING.IN REMOVAL OF THE
PARTICULAR SUBSTANCE.
EMERGENCY CONTACTS 2A SEC 2)
MEL BYRD - 324-6011 OR 327-2161
EDWARD WEGEMER - 832--2141 OR 327-2161
UTILITY SHUTOFFS 2A SEC 3)
A) GAS - N OF LAST PARKING STALL NEAR OFFICE BLDG. B) ELECTRICAL - SE CORNER
OF OFFICE BLDG. C) WATER - W OF GAS METER D) SPECIAL - NONE E) LOCK BOX -
NO
NOTIFICATION /
PUBLIC EVACUATION
LAST CHANGE / / BY
< NO INFORMATION RECORDED FOR THIS SECTION >
PAGE 1
03/17/89 09:53
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME CALIFORNIA WATER SERVICE COMPANY ID NUMBER 215-000-001361
LOCATION 3725 S H ST HIGH HAZARD-RATING 3
3 . HAZ MAT
TRAINING
LAST CHANGE / /
BY
< NO INFORMATION RECORDED FOR THIS SECTION >
EMERGENCY MEDICAL ASSISTANCE
LAST CHANGE 02/09/89 BY VAL
2A SEC 5)
MEDICAL ASSISTANCE WOULD BE PROVIDED BY
MERCY HOSPITAL - 2215 TRUXTUN AVE. - 327-3371
PAGE 2
03/17/89 09:53
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
FIRE DEPARTMENT'
O. S. NEEDHAM
FIRE CHIEF
CITY of BAKERSFIELD
"WE CARE"
December 27, 1989
2101H STBEET
BAKERSFIELD. 93301
326-3911
California Water Service Company
Craig Gilmour .....
1720 North First Street
San Jose, CA 95112
Dear Mr. Gilmour:
SeveraI months ago we spoke with someone in your company who
promised to come in within the week to straighten out the Hazardous
Materials Management Plans. for your company. It has been several
months and we have heard from no one.
This letter is to inform you that the penalties for not Complying
with Chapter 6.95 of the California Health and Safety Code start
at $2,000 per day.
It is imperative that we have a plan for EVERY location you have
with the city limits of Bakersfield. I have enclosed for your
convenience a complete copy of the Hazardous Materials Management
Plan.
We are here to help, so if you have any questions call 326-3979.
Si,~re~rely,
//
~'alCh.E. HueyS~/¢~
hazardous Mat~_~als Coordinator
REH/ed
1~0 NORTH FIRST ST~ET · P. 0. BOX 1150 · SiN JOSE, 6A 95108 · (408) ~98-1414
RECEIVED
February 28, 1989
Ralph Huey
Hazardous Materials Coordinator
Bakersfield City Fire Department
Hazardous Materials Division
2130 G Street
Bakersfield, CA 93301
0 2 1989
HAZ. MAT. DIV.
Dear Mr. Huey:
Per our telephone conversation, enclosed is the revised California Water
Service Company Hazardous Materials Business Plan (Plan) for our
Bakersfield district. The Plan consists of forms; 2A for the overall
activities and the field yard, forms 3A and 4A for each of the ten (10)
individual storage sites, a site plan for the field yard, and a generic
pump building diagram which depicts our typical well pump station.
If you or your staff have additional questions concerning the submitted
Plan or would like to discuss this matter further, please telephone this
office at (408) 298-1414. Thank you for your assistance and
cooperation.
Sincerely,
Water Quality Assistant
CG: bf
Enclosure
cc: Mr. M. Byrd, Assistant District Manager
CALIFORNIA WATER SERVICE COMPANY
IIR0 NOI~IH FIRST STRElZT · P. 0. BOX 1150 · SAN Joslz~ GA 95108 · {408) 290-1414
RECEIVED
March 14, 1989
6 19t 9
HAZ. MAI. DIV.
Duane Meadows
Bakersfield Fire Department
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA 93301
Dear Mr. Meadows:
Per our telephone conversation, enclosed are the revised Hazardous
Materials Inventory forms which are completed as specified. In
addition, we are providing an amended Form 3A for the field yard
location which addresses notification and evacuation.
If you have any additional questions concerning this submittal, please
telephone this office at (408) 453-8414. Thank you for your
cooperation.
Sincerely,
Water Quality Assistant
CG:bf
Enclosure
cc: Mr. B. D. Lewis, District Manager
CALIFORNIA WATER SERVIGE COMPANY
17~0 NOHTH FIRST STREET ' P. 0. Box 1150 · SAN JOSE~ CA 95108 · (408) ~98-1414
April 4, 1989
Duane Meadows
Bakersfield Fire Department
Hazardous Materials Division
2130 "G" Street
Bakersfield, CA 93301
Dear Mr. Meadows:
Per our earlier telephone conversation, enclosed is an amendment to the
California Water Service Company Hazardous Materials Business Plan. The
amendment consists of information germane to Section 6, Employee
Training of Form 2A. In addit'ion, we are returning your copy of the
previously submitted business plan which was returned to us in error.
Please advise me if additional information is needed in order to deem
this business plan complete. Our telephone number is (408) 453-8414.
Thank you for your assistance.
Sincerely,
Cr~lmour
Water Quality Assistant
CG:bf
cc: Mr. M. Byrd, Assistant District Manager
Enclosure
BAKERSFIELD CITY FiRE DEPARTMENT
21SO "G" STREET'
BAKERSFIELD, CA 93301
BUSINESS
OFFiCiAL USE O~T.Y
BUS I NESS PLAN
S.INGLE FACILITY UNIT
!~ORM 3A
INS~UCTIONS
I.,,To avoid further action, this form must be returned by:
2. TYPE/PRINT YOUR A~SWERS IN ENGLISH.
3. Ans~er ~he questions below fer THE FACILITY UNIT LISTED BELOW
Be as BRIEF and CONCISE as possible.'
FACILI~! UNITs FACILITY %~IT N~ME: Station 183-01
SECTION l: ~ITIGATIQN~ PREVENTION~ ABATEMES'r PROCED%~ES
Storage tank inventory reconciliation is conducted on a Weekly basis. Annual
precision testing of the tank provides for analyses of physical'integrety.
Abatement of a release would be conducted by an independent remediation cOnsultant
as needed and to the satisfaction of responsible regulatory agency.
SEcTiON 9..: NOTIFICATION A;%~D ~VACUATION PROCEDIFRES AT THIS L~IT ONLY'
Not applicable.
- 3A -
SECTION 3: ~rAZARDOUS MATERIAr~S FOR THrS ~.WTT ONLY
-
· A. Does this Facility Unit conr. ain Hazardous Materials? ..... NO
If YES, see B.
If NO, continue with SECTION 4.
B. Are any of the hazardous materials a bona fide Trade'Secret YES~
If No, ~omplete'a separate hazardous materials inventory
form marked: NON-TRADE SECRETS: ONLY (white form ~4A-1)
I~ Yes, complete a hazardous materials~inventory form~marked:
TRADE SECRE%S ONLY (yellow form =4A-2) in addition to~ the non-trade
~ecret ifo~m. Li~t only the trade secrets on form 4A-2.
SECTION 4: pRI~ATE FIRE PROTECTTOX
Fire Extinguisher
SECTION $: LOC~AT!ON OF WATER SL'PPLY FOR USE BY EMERGENCY RESPONI]ERS
On-~ite well discharge.
SECTION 6: LOCATION OF bWILI.v"f Sh'bW-OFFS AT THIS b~IT 05~Y.
B..~LECTRICAL: Service box located inside well pump enclosure.
C. WATER:: N.A. ~';'
SPECIAL:
LOcK BOX: YES ~ r~ Y~S [OCATIOX:
YES; S[t~ P~XXs?·
FCOOR PtANS?
YES / MO
YES / XO
MSDSs?
KEYS?
?'s ..' .~o
"YES / XO
BAKERSFIELD CITY FIRE DEPARTMENT
I.D. # FORM 4A-I
NON--TRADE SECRETS
I-{AZARI')OUS MAr]FER][ ALS I ~VENTORY
BH.q{NESS NAME: California Water Service Company OWNER NAME: same
ADI)RESS: 1720"North First Street ADDRESS: 2009 yar. nel Court *
CITy, ZIP: San Jose, CA 95112 CITY,ZIP: Bakersfield, CA 93304
PH(]NE #: 408-298-14~'4 PHONE #: 805-832-2144 ~
Otll. Y
FACILITY UNIT ,~: ~_
FACILITY LIN[T NAr. IE: 183-01
OFFICIAL DSE' CFIR:] C{~{I-
I 2 3 4 5 6 ? 8 9 10
TYPE MAX ANNUAL CONT USE LOCATION IN THIS % BY IIAZAI
CODE AMOUN~T ,AMOUNT UNIT CODE CODE FACILITY U.NI.T WT. CHEMICAL OR COM~ION NAME COl)i
P 550 550 G~L 01 '19 Central - Diesel Fuel CMLQ
*AP#: 372-291-28-006
NAME Craig Gilmour
EMEROENCY CONTACT:
EMERGENCY CONTACT:
PRINCIPAL BUSINESS
T{TLE: Water Quality Assistant SIONATIJRE: ~-~ ~ DATE:~._~_~.._~.?__.
B.D. Lewis TITLE: District Manager/ P{IONE # BDS }{OURS: 324-601'1
AFTER BUS {IRS: 327-2161
Melvin Byrd TITLE: General Superintendent PHONE # BUS HOURS: 832-2141
ACTI'V[TY: Water Purveyor AFTER BUS {IllS: 327-2161
CITY of BAA'£R$?[ELD
"I['E
Craig Gilmour
(ty~e or ~rln%
name)
Do hereby certify that I have rex.-ie~ced the
RECEIVED
MAR 1 6 1989
HAZ. MAT. DIV.
attached Hazardous Materials business plan
for
California Water Service Company
(name of business)
and that it along with the attached additions
or corrections consti~ ~ a c
~u~e omDlete and correct
Business
/igI{a%ure
Plan for my facili.tM.
3. /o. $?
..... da{-e
FiRE D~J3ARTMENT
D. S. NE.FI]HAM
FIRE CHIEF
CITY
2101
Dear Business Owner:
Enclosed please find a copy of your response to the Hazardous Material Business
Plan request. We have found ii: necessary to rejec: youc pian for the foilowing
reason(s) as checked below.
Ille. g~ible Business Plan (please print or type infomation in English).
Form 3A F]~T~issing or F-~ Ineomnleee - ~ .
Form 5A
Site Diagram ~ Missing ~
This is to be corrected and rJsu~mitte~30 days to:
Bakersfield City Fire Department
Hazardous Materials Division
2!30 "G" Street
Bakersfield, CA 93301
If additional copies of any forms are needed they can be picked uo from the
Hazardous Materials Division at 2!30 "G" Street in person.
Sincerely Yours, / .
Z/Ralph E. Hues? '
{/ Hazardous Materials Coordinator
REH/eg
CALII~ORNIA WATER SERVICE COMPANY
BAKERSFIELD DISTRICT
Hazardous Materials Business Plan
Employee Training
The California Water Service Company routinely provides training in the
safe handling of hazardous materials to employees. Safety training is
conducted on a monthly basis. New employees are provided initial safety
training and refreshed at the monthly training sessions. Typical
training ~ncludes; procedures for proper handling, use of safety
equipment, and emergency preparedness.
The following list details those employees who participate in the
hazardous materials training:
Employee Name Title
Albert Araujo
Marie Boyce
Greg Brown
Steve Burud
Mary Fletcher
Leon Francies
Klm Hedrick
Tammy Johnson
Paul Lazano
Bob Miller
Pete Salazar
Greg Silva
Treva Traylor
Pam Truitt
Jeff Ammons
Jim Coulter
Mel Byrd
Utility Worker
Storekeeper/Field Clerk
Foreman-Pump/Electrical
Certified Pump Operator
Operations Maintenance Worker
Utility Worker
Certified Pump Operator
Pump Operator
Storekeeper
Cert. Chief Pump Operator
Certified Pump Operator
Pump Operator
Certified Pump Operator
Certified Pump Operator
Traveling Mechanic
Traveling Mechanic
Assistant District Manager
CWS.3.89
BUSINESS
LOCATION
FACILITY
NAME
UNIT
CALIFORNIA WATER SERVICE COMPANY ID NUMBER 215-000-001361
3725 S H ST HIGH HAZARD RATING 3
01
A e
OVERALL
HAZARDOUS MATERIALS INVENTORY
LAST CHANGE / / BY
ID
TYPE NAME
LOCATION
MAX AMT UNIT HAZARD
CONTAINMENT USE
B e
FIRE
WATER SUPPLIES
LAST CHANGE / / BY
~ - ~,'~ ~z~z~,'~,~,~.
< NO INFORMATION RECORDED FOR THIS SECTION >
PAGE 3
03/17/89 09:53
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
BUSINESS NAME CALIFORNIA WATER SERVICE COMPANY
LOCATION 3725 S H ST
ID NUMBER 215-000-001361
HIGH HAZARD RATING 3
EMPLOYEE
NOTIFICATION /
LAST CHANGE
EVACUATION
/ / BY
An occurance of an unauthorized release will require~the immediate notification
to the Bakersfield Fire. Department. Responsible personnel.must evaluate, the
situation and determine the need to evacuate staff'to a safe and. seoure locati6n
.depending on type of material released and ambient conditiOns. CWS responsible'
pers, onnel will adhere to the recommendations and .procedUres~spe~¢ified.by the
Fire Department upon their arrival.
MITIGATION /
PREVENTION
LAST CHANGE
/ ABATEMENT
/ / BY
ChlOrine storage is co~fined to a secure area of the'field yard. Regular
~ i,nspection and use °f cylinders occurs, thereby-allowing .for the day-to-day
observation of the storage containers'~ · If a leak were to occur, staff is
trained in the use of chlorine cylinder emergency repair kits. Self-contained
.breathing apParatus is available.
Storage tank inventory reconciliation is conducted'on a..daily basis.. AnnUal
'precision testing of the tank p'rovides for analyses 'of phys'i~al.integrety.
Abatement of a release would be conducted by an indePendent'remediation consultant
as needed and to the satisfaction o'f responsible regulatory agency.
PAGE 4
03/17/89 09:53
MATERIAL SAFETY DATA SYSTEMS, INC. (805) 648-6800
CITY of BAKERSFIELD
NON--'1?RADE SECRETS
8USI-NESS NAME: ~ifornia ~ter ~rvice C~y OWNER ~AME- ~ifornia Water ~rvim C~y. HAME OF T~ FACILITY: Field Yard
LOCATION:_ "3'12b' "H" Street ADDRESS: 1720 North First St. STAI~DARD IND. CLASS CODE 4941
CITY. ZIP:_ Bakersfield, CA 93304 CITY, ZIP: - San Jose, CA 95112 'DUH AND BRADSTREET NUMBER
PHONE ~: 805-832-2~S~' ~/4// PHONE #: 408-~53-8414 0 0 - 6 9 1- 3 5 7 8
~..L~_]" ~ l.~~ ~ L_~ ..... l ~0 ~ ~ I s. , ...... . ....
~ ~ I~ ~'. ~orne~ ~ ~u~ C~o~.e
(C~k ell t~t
~L ~ ' '~ .....................
._! _ ~ooo ...... l ....... ~~% I~ ~ ~ I Ce~t~ ~ ~. ~n~ea~e~ ~em~um Saso~
I~th~-~ of P~su~ ~lth .....
Certification (Read and s JAn after coMpJetin£ all sections) .
Craig Gilmour, Water Quality Assistant ~- ~ 31 I~. ~
70'
1I
' t
i'P/C
CALIFORNIA WATER SERVICE cO..
ecA'Z~ :"/% 40' -.
CALIFORNIA WATER SERVICE CO.
' 'puMP'-BUILDiM G
BAKERSFIELD CITY FIRE DEPARTMENT
2~BO "G" STREET
BAKERSFIELD, CA 93~01
BUSINESS NAME:
0FFiC~AL USE O~LY
ID#
BUSI NESS PLAN
S.INGLE FACILITY UNIT
FOI~M ~A
INSTRUCTIONS
2.,. To avoid further action, this form must be ~etu~ed by:
2. TYPE/PRINT YOUR A~SW~R$ IN ENGLISH.
8. An~we~ the questions below for THE FACILITY U~IT LISTED.BELOW
4. Be as BRIEF and C0NCI~E as poss%ble.'
FACILI~! UNITm FACILITY UNIT N~%fE: station 175-01
~ECTION I: MITIGATION, PREVENTION, ABATEME5~ PROCEDURES
Storage tank inventory reconciliation is conducted on'a'weekly basis. Annual
prs~fsion testing of the tank provides for analyses of physi~al"~nte~ety,
Abatement of a release would be conducted by an independent .remediation consultant
as needed and to the satisfaction of responsible regulatG~y agenoy~
~ECTIdN ~: NOTIFICATION A~ ~VACUATION PROC~DI.~ES AT THIS L~IT' O~Y,~>;i _
Not applicable.
SECTION 3: HAZARDOUS MATERIALS FOR THIS [~T ONLY
A. Does this Facility Unit contain Haxnedous Materials? .'XO
If YES, see B ....
If NO, continue with SECTION 4,
B. Are any of the hazardous muterlals a bona fide Trude. Se~ref'
If No, coaplete'a separate hazardous materials inventory .
fora marked: XON-TRADE SECRETS OXLY (white fora S4A-1)
IfYes, complete a hazardous materials Inventory fora marked:":
TRADE SECRETS OSLY (y~lloi fora =4A-i) tn addition to the
~ecret form. List onty the trade se?rets on form 4A-2.-
SECTION 4,: PRIVATE FIRE PROTECTTOX
Pice Extinguisher
sEct'~.6N s:: LO~T~ON OF ~ATER Sin:PLY FOR USE BY E:m".RGENcy, RESPO~ER$
On;site Well ~discharge.
B. ELECTRICAL:~ Se,~vice.'~box located inside well pump enclosure.
!
WATER: N.A.
~. SPECIAL:
IF YE~, $IT~ PLAXS?
FLOOR PLAXS?
YES'/ ~0 XSDSs?
YES / XO. KEYS?
¥E$ /
'CITY of BAKERSFIELD
HAZARDOUS ~TERI ALS I I~FE NT.ORY° -~}
NON--'TRADE SECRETS
' ~a~e 1 of 1
BUSINESS NAME: California Water Service Company 'OWNER NAME: California Water Service Company. NAME OF T~ FACILITY: 175-01
LOCATION:~ O±lve Drive/AP# 366-U2U-26-027 ADDRESS: 1720 North First St. STANDARD IND. CLASS CODE 4941
CITY. ZIP:~ Bak~'~sfield, CA 93304 CITY. zIP: · San Jose, CA 95112 DUN AND BRADSTREET NUMBER
PHONE #: 805-U32-2144 PRONE #: 408-453-8414 ' '0 0 - 6 9 1- 3 5 7 8
(C~k ~11 t~t a~ly) ·
~lth of P~ ~lth
(C~k 411 t~t iwly)
(C~k ali t~t i~ly)
-- r--~ r--~ r--~ ~t~ ~& C.A.S. ~
(C~k all tMt
h of Pr~su~ ~lth ' -
~N~RGE~Y ~TlCTS Il B. D. Lewis District Manager 327-2161 ~ Melvin Byrd ~t. Distri~ ~r 327-2161
Certtficatio, (Read am~ sil~ after commpletJnK all sections)
Icertlfv ~e ~lty ~ 1~ t~t I ~ve .~rs~allg e~ami~ a,d am f~iliar with t~ tnfor~tim su~itt~ tn this ~j11 ~t~ ~ts. ~ t~t ~,~ m ~ i~ui~ of t~, t~ivi~ls ~,ible
or obtaining t~ inf~Mti~. [ ~lieve t~t t~ su~itt~ in~o~t(~ is tr~. at,rate. ~nd c~o~ .' ~ ~
Craig Gil. mour, Water Quality Assistant C I~ ,~~ ~ 10 . ~7
a;;- ~&~-~]~]~]-'E]~-~U-~-~--~:---n~-~ ..... ~ ...... ~ ............... : .......................... --~ ~-~3 ...... :-: ...................... ' ' _ ...........
t o e ,~e ~,or ~ ~e~/o e~to~ ~ ~v[~,z~ reor s~[~,~e S,cn~--/ ~-5~ .................
BAKERSFIELD CITY' FIRE DEPART)lENT', 'ii: .'.
BAKERSFIELD, CA ~3301
BUSINESS XAME: "
ID#
· S.I NGLE FACILITY UNIT'
I... To avoid further action, this form must be retu.'ned.by:'"'," 2", ..
~. TYPE/PRINT YOUR ANSWERS IN ENGLISH. '. :, · ' '.'
~, ~ns~er the question~ below ~ot' THE FACILITY UXIT LISTED BEI, O~. '.
4. Be as BRIEF and e~NeI3E as poss!b,l'e.' ' ,
,SECTION
Storage tank inventory reconciliation is conducted on a'weekly basis. Annua'l
prgcislon testing of the tank provides for analyses'of physi.cal.integrety.
Abatement of a release would be conducted by an independent remediation consultant
as needed and to the satisfaction of responsible regulatory agency.
SECTIdN ~= NOTIFICATTON Ah~ ~VACUATION PROCEDL~ES AT THIS 'L.~rITONL¥'
Not applicable.
- 3A -
SECTION 3: HAZARDOUS MATERIALS FOR THIS h.'NTT ONLY
A. Does'this Fncillty Unit contain Ha=ardous >[nterlals?.... ~0
If YES; see B.
[ENO., continue wi.th SECTION 4.
B' A~e any of the hazardous materials a bona fide Trade. Secret
If No, comp%eCe'a separate h~zardous materia~s
fo~m.marked:'NON~TRADE SECRETS ONLY. (white fo~m_~4A-X)
If Yes,. complete a hazardous m~te~ials inventory form marked:
TRADE.S~CRETS ONLY (Yellow form :4A-2) in addition to the non-trade
Ee~ret iform~ List only the trade secrets on form 4A-2.
SECTION 4: PRIUATE FIRE,~PROTECT?O~
Fire ExtinguiSher
SECT~'ON 5!: LocATION OF [lATER SUPPLY FOR USE BY E.~R6ENCY: RESPONDERS
On-bite well· discharge.
SECT,iO.~ 61: LOCATION 0F:' UTILI~'Y Sh"dT-OFFS AT T~tlS b~FIT ONLY.
B. ',~ECTI{{CAL': .serVice ';box located inside well pump enclosure.
C. WATER::'N.A.
%.¸
0. SPF. CIAL:
E. L6CK BOX: YES ~ IF YES, LOCATIOn::
KF.%'ES, SITE PLAES?
· FLOOR PLANS?
YES /
YES/
.>[SOSs? YES / NO
KEYS?" yES / NO
CITY of BAKERSFIELD
end Nriculture ~-a Stendard Business ~ ~-~P-~I~.~::~DO~'~ ~al:~.'~E~R''r ~S ~ ~~.0 ~'
BUSINESS NAME: California Water Service Company 'OWNER NAME: California Water Service CoNpany. NAME OF T~ FACILITY: 188-01 .
LOCATION:_ Meany Avenue ADDRESS: 1720 North First St' STANDARD IND. CLASS CODE 4941
CITY, ZIP: Bakersfield, CA' 93304 CITY, ZIP: . Sa'h Jose, CA 95112 DUN AND BRADSTREET NUMBER
PHONE ~: 805-~32-2144 PHONE ~: 408-453-8414 " 0 0 - 6 9 1- 3 5 7 8
RglJ'~R FO XlISZ'J~UCTZOI~ FOI~ ~OP~ COD~
C~ C~e Mt ~t ht ~its m Site l~ ~ TW ~ St~ in F~tilty ~ ~ I~t~ti~
_ r--~ r--~ ~~ ~ & C.A.S. ~
'[~ Fire Hazard ~--~ ~t~vity ~ ~1.~ ~--a ~ hi~ ['] i~t~e ..........
~lth of P~ ~lth
~t I] h&C.A.S. ~
.,L_J [ I I--1 .... 1 , i I ! I
- r-- ~--= ¢--~ r--~ ~ ~ ~ & c.A.a. ~
Mlth of ~ Mlth
at 13 ~ & C.l.S. ~
-'~-~ .... ~ ~_ i I .I I !, 1"1 "' J~ ,,, ~ . ~ ..........
P~t~I ~ ~lth ~z~ C.A.S. ~ ~t 11 ~ & C.A.S. ~
(C~k all t~t a~ly)
r--~ -- -- r--~ ~t ~ ~&C.A.S. ~
Mlth of P~s~ Mlth ~ ........
13 ~ & C.A.S.
~t
'.~._~L L ~ [ ,, ,~ I I~ L ! .......
(C~k ~11 t~t ~ly)
~lth of P~su~ ~lth .....
~ 13 ~&C.A.S. ~ ·
KERGENCY~T~TS II B. D Lewis District Manag~ 327-2i6i ~ Melvin Byrd ~st. Di~ri~ ~ger 327-2161
Certtflcatie. (Read and SiKh after compJeCinK aZ] sections;
If cer.ttf¥ trader ~lty ~ ~ t~t ! ~ve ~rs~ally ex~ and am f~iliar .ttfi t~ tflfor~ti~ su~itt~ iff th~s ~ ill att~ ~tS. ~ t~t ~ i~ui~ o~ t~e t~tvihls ~s~ble
Craig Gilmour, Water Quality Assistant ' ( ..... ~~ ~. /O. g'~
~;~-~-%~T'~ ..... - ............... ~ ........................ ~~ __~_~_--: .... :r_~:_~.
~ t~t~e o~ ~er,'ooe;~er ~,~eeTo~erator's ~uL~ri:~ ~F~ Si~F~F~ .... ~- ~ ............................... ~-ST~ .............................
/
CALIFORNIA WATER SERVICE CO.
PdMP ~HILDI~G
I.D. #
---~IYA-i~TR-$'F'I~DC IT¥ IR . P^RTMENT
FORM 4A-1
NON--TRADE SECRETS
I.IAZ ARI')OUS MATERI ALS I r.~VENq."ORY
BliS INESS NAME: California Water Service Company
ADDRESS: ]720 North First Street
CITY. ZIP: San Jose, CA 95112
PII~]NE #: 408-298-1~1~
2
MAX
AHOUNT
3
ANNUAL
AMOUNT
58,320
]0,800
9720
1
TYPE
CODE
P
1800
185 ]85
55 55
P 4000 48,000
?
LOCATION IN THIS
FACILITY {1NIT
OWNER NAME: Same
ADDRESS: 37.25 South "H" Street FACILITY
CITY,Zlp:Bakersfie]-d, CA. 93304
PiIONE #: 805-832-214q ~. OFFICIAL
,
9
S.E. Corner
S.E. Corner
S.'E. Corner
Central Is].and
NAME: Craig Gilmour TITI. E:
CONTACT: B.D. Lewis
CONTACT: Melvin Byrd
BIIfilNESS ACTIVITY.:
EMERGENCY
EMERGENCY
PR I NC I PAL
CHEMIGAL OR COM{qON NAME__
Gaseous Chlorine
Liquid Chlorine
Turbine Lubricating Oil
Unleaded Premium Gaso].ine
Paffe
FACI[,ITY UNIT ,+ :
)INIT NAt. IE: Field Yard
USE CFIR!; t'~;
lO
liAZ^Rt~
C 01) 1;
OXID
OXID
FLLQ
CMSQ
Water Quality Assistant S I GNATURE:
TITLE: District Manager
TITLE: Genera]. Superintendent
Water Purveyor
PIlONE $ BUS ilOIIRS:
AFTER BUS IIRS:
PIIONE # BUS HOURS:
AFTER BIJS ilR5:
DATE :'_ ....
324-60] ]
327-216].
832-2].41
327-2161
I.D. #
DII.qINE.qS NAME: California
ADDRESS: 1720 'Nort6"First
CITY, ZIP:San Jose, CA 95112
PII(]NE #: 408-298-1~'~.q
2
MAX
AMOUNT
3
ANNUAL
AMOUNT
l
I'YPE
CODE
P 500 500
Water Service Company
Stk6et
BAKERSFIELD CITY
FORM
NON--TRADE
I.IAZARI')OUS MATERIALS
Same
OWNER NAME:
ADDRESS: Milloak Run
CITY,ZIP: Bakersfie] d,
PRONE #: 805-832-2144
NAME craig Gilmour
EMERGENCY CONTACT:
CONTACT:
BUSINESS
?
LOCATION IN'TiiIS
FACILITY UNIT
Central
FIRE DEPARTMENT
4A-1
SECRETS
I ~VENTORY
FACILITY
CA 93304
z ~OFFICIA[,
i ,, ~.qY
CHEMICAL OR CO{~I~ION NAME
Diesel
FACII, ITV UNIT ,* :.
tlNf'l" NA/.I£:CBK-15
EMERGENCY
PRI NC I I'AI,
USE CFIR:; CI;~{
10
C 01) E
CMLQ
B.D. Lewis
TITLE :Water Quality Assistant S GNATURE:
TITI. E: District Manager
Melvin Byrd TITLE: General Superintendent
ACTIVITY: Water Purveyor
DATE:,.
PIlONE $ BUS 11OI1RS:324-60]-1
AFTER BUS IIRS: 327-2161
PiIONE # BUS HOURS:832-2141
AFTER BUS ItRS: 327-2161
I.D. #
BAKERSFIELD CITY FIRE DEPARTMENT
FORM 4 A- 1
NON--TRADE SECRETS
I-IA'Z ARI')OUS MA'I'ERT ALS T IN[VEI%ITORY
BII,qlNESS NAME: California Water Service
Ai)I}RESS: 1720 North First Street
CITY0 ZIP: San Jose CA 95112
PII(~NE #: 408-298-14'14
Company
1
TYPE
CODE
2
MAX
AMOUNT
N AFl E
3
ANNllAL
AMOUNT
P 560 5OO
Craig G
lmour
EMERGENCY CONTACT: B.D. Lewis
OWNER NAME: Same
Al}DRESS: Truxton Avenue
CITY,ZIP: Bakersfield, CA 93304
PIiONE #: 805-832-21~4 /
7
LOCATION IN'TIllS
FACILITY UNIT
Central
EMERGENCY CONTACT:
PRINCII'AL BUSINESS
T I TI.E: Water Quality Assistant S I 6NATHRE:
TITLE: District Manager
FACILITY IINIT # :
FACILITY [INfT NAt-IE: CBK-13
()lILY
lO
IIAZARI,
CHEMICAL OR COFI[,ION NAME COl)l/
Diesel Fuel CMLQ
Melvin Byrd
ACTIVITY: 'Water Purveyor
TITLE: General
Superintendent
DATE:
PiIONE # BUS llOIJRS: 324-60]1
AFTER BIJS IIRS: 327-2161 _..
PIIONE # BIJS HOURS: 832-2141
AFTER I{iJS IlIIS: 327-2161
I.D. #
I~Ai(E~SI'~IEI. D CITY FIRE DEPA~kENT
FORM 4A-1
NON--TRADE SECRETS
I-IAZ ARI')OUS MATERI ALS I r-IVENTORY
Page .... ·
BIISINESS NAME: California Water Service Company
Al)DRESS: 1720 North First Street
CITY0 ZIP: San Jose, CA 95112
PIll]NE #: 408-2982141'4
OWNER NAME: same
ADDRESS: Meany Avenue
CITY,ZIP: Bakersfield, CA 93304
PIi0NE #: 805-832-2P44 /
FACILITY UNIT ,,:
FACILITY UNfT NAt. rE: 188-01
ONLY ....
10
IIAZARI,
COI)~
1
TYPE
CODE
2
MAX
AI, IOUNT
N AI, I E
3
ANNUAL
AMOUNT
p 1.25 125
Craig Gilmour
EMERGENCY CONTACT:
?
LOCATION IN TlllS
FACILITY UNIT
Central
T I TI.E: Water Quality Assistant S IGNATffRE:
EMERGENCY CONTACT:
PRINCII'AL BUSINESS
B.D. Lewis
Melvin Byrd
ACTIVITY:
CHEblICAL
Diesel Fuel
9
OR COI,[MON
NAIqE
~ater Purveyor
CMLQ
TITI, E:
TITLE:
District Manager
General Superintendent
DATE: ................
PIIONE # BUS ilOIIRS: 324-60]].
AFTER Jills liltS: 327-216].
PIIONE #BIIS HOURS: 832-2141
AFTER BUS ltI{S: 327-2161
BAKERSFIELD CITY FIRE DEPARTMENT
I.D. #
BHSINI.iS'S NAblE: California Water Service Company
Al}DRESS: 1720 North First Street
C1T¥. ZIP: San Jose, CA 95112
PIIONE #: 408-298-141!'4
2
MA X
A~IOUNT
I
TYPE
CODE
ANNDAL
AblOUNT
P 550 550
Craiq
;i].mour
NAME
EMERGENCY CONTACT:
EMERGENCY CONTACT:
PRINCII'AL BUSINESS
FORM 4A-1
NON--TRADE sECRETS
I.I.~.'7- ARI) OUS MATERT ALS I I>]VENTORY
Same
OWNER NAME:
ADDRESS: Pacheco Road *
CITY, ZIP: Bakersfield, CA 93304
Pil0NE #: 805-832-21~4
Page ._
FACILITY UNIT . :
FACILITY UNiT tlAI.IE:185-01
L OFFICIAI, USE CFII~'i] 'C'c;ii~
9 !! !: ¥ ....
7 9
LOCATION IN'TillS
FACILITY UNIT OR COI, HqON
Central
*AP#: 171-030-20-004
CHEMICAL NAME
Diesel Fuel CMLQ
10
IIAZARI,
COl) l~
B.D. Lewis
Melvin Byrd
TITLE: Water
ACTIVITY: Water Purveyor
TITLE:
TITLE:
SIGNATURE:
District Manager
General Superintendent
PIIONE # BUS ilOIIRS:
AFTER BUS IIRS:
PHONE # BUS ltOUF¢S:
AFTER IiIIS IIR5:
DATE: .....
3'~4-60]]
327-2161
832-214]
327-2161
.! .D. #
ADDRESS:
CITY,
PII~3NE
· --'7--~BAKERSFIELD CI'~--~~Y FIRE DEPART-MENT
.FORM 4A-I
NON--TR'ADE SECRETS
I'IA~ZARI'~OUS Mm~fgmI ALS I ~>iVEN~I?. ORY
Same
NAME: California Water Service Company OWNER NAME:
1720 Nor~'h'F~rst street ADDRESS: 2009 Yarnel Court * FACILITY
ZIP: San Jose, CA 95112 CITY,ZIP: Bakersfield, CA 93304
#: 408-298-14~'4 PHONE #: 805-832-2P44 z
I 2
TYPE blAX
CODE AIqOUNT
P 550
NAblE Crai9
EMERflENCY
3
ANNUAL
AMOUNT
550 .
Gilmour
CONTACT:
7
LOCATION IN Tills
FACILITY UNIT
Central
*AP#: 372-291-28-006
· Paile .... .
FACII, ITV UNIT , :
[INfT NAt. rE: 183-01
IOFFICIAI, USE CFIR:;
CIIEMICAL OR CO~I~ION NA[.IE
Diesel Fuel
lfl
COl) If
CMLQ
EMERGENCY CONTACT:
PRIHCII'AL BUSINESS
B.D. Lewis
T ITI. E: Water Quality Assistant S IGNATIJRE:
TITLE: District Manager
Melvin Byrd
ACTIVITY: Water Purveyor
TITLE: General Superintendent
PiIONE #
AFTER
PIION E #
AFTER
DATE: ...............
BUS ilOIIRS: 324-6011
BUS IIR$: 327-216]·
BIIS I{OIJ£(S: 832-2141
I.D. #
Dar~;;it~l'l~.l,U t;l'l¥ ['IRI;
FORM 4 A- 1
NON--TRADE SECRETS
I.IAZ al~ I')OllS MAq'ERI ALS I rIVEN:rORY
BIISINE,qS NAME: California Water Service Company OWNER NAME: same
ADDRESS: 1720 Norkh First Stredk ADDRESS: Patton Way *
CITY., ZIP: San Jose, CA 95]].2 .-- CITY,ZIP: Bakersfield, CA 93304
PIIONE' #: 408-298-1~-;%4 PHONE #: 805-832-2144
l
TYPE
CODE
2
;'lAX
AHOUNT
NAME
3 7
ANNUAL I, OCATION IN Tills
AblOUNT FACILITY UNIT
P 550 550
craig
;ilmour
EMERC, ENCY
EMERGENCY
PR I NC I PAL
CONTACT:
CONTACT:
BUSINESS
Central
*AP#: 361-083-14-008
8
~; BY
WT.
.9
I;'ACIi. ITY IINIT ,+
FACILITY DNIT NAt. IE: 178-01
TITI, E:Water Quality Assistant SIGNATURE:
B. D. Lewis TITI, E: District Manager
Melvin Byrd TITLE: General Superintendent
ACTIVITY: Water Purveyor
CHEM I ~AL
Diesel Fuel
OFFICIAl,
..... CA!!!:v
OR COMlqON NAME
USE CFIR:;
lO
IIAZAtt{,
C 01) E
CMLQ
PIIONE # BUS IlOIJRS:
AFTER BUS iIRS:
PIiONE # BUS IiOIIRS:
AFTER BUS {IRS:
DATE:
324-601~
327-2161
832-2141
327-2161
I.D. #
lIDS I N I';.q S
Al)DRESS:
CITY,
PIIgNE
FORM
NON--'TRADE
I.IAZ AR I) OUS
NAblE:
1720 North First Street
California Water Service Company
ZIP: San Jose, CA 95112
#: 408-298-141~
1' 2
TYPE MA× ANNUAL
CODE A~IOUNT AblOUNT
P 550 550
_
I, OCATI
FACILI
Central
*AP~: 146-011.-03-002
'B-~LD CITY FIRE DEPARTMENT
4A-1 ?affe
SECRETS
MATER.][ ALS ][ ~.;VE ~1'i?O RY
OWNER NAME: Same FACII, IT%'
ADDRESS: Panorama Drive * FACILITY UNfT NAt. IE:
CtT¥,ZIP: Bakersfield, CA 93304
PHONE ~: 805-832-21~4 / ~OFFICIAl, DSE
' ,. ~ O ii I. Y
7 9
ON IN Tills
TV. UNIT C~EMI~AL OR COMMON NA~,IE
Diesel Fuel CMLQ
lin IT .
176-01
C O 1) l/
NAME: Craig Gilmour
EMERGENCY CONTACT:
B.D. Lewis
TITI, E: Water Quality Assistant SIGNATURE:
TITI. E: District Manager
EblERGENC¥ CONTACT:· Melvin Byrd TITLE: General Superintendent
PRINCII'AI, IIIISINESS ACTIVITY: Water Purveyor
DATE: ..........
PIIONE # BUS llOIlRS: 324-6011
AFTER Jills fillS: 327-2161
PIIONE # BUS ltOURS: 832-2141. ..........
AFTER BUS llliS: 327-2161
I.D. #
BIIS I N I':.q S
Al}DRESS:
CITY, ZIP:
PIlONE st:
MAX
AHOUNT
NAME: California
1720 North First Street
San Jose, CA 95112
408-298-14~
3
ANNUAL
AMOUNT
1
TYPE
CODE
NAME
350 350
craig Gilmour
EMERGENCY CONTACT:
EPARTMENT
FORM 4A- I
NON--TRADE SECRETS
IIAZ ARi')OI]S MA~I'ERI ALS I
Water Service Company OWNER NAME: Same
Al}DRESS: Olive Drive *
CITY,ZIP: Bakersfield, CA 93304
PHONE #: 805-832-21'44
~VE ~:ro RY
I:ACILITY
7
LOCATION IN Tills
FACILITY UNIT
8
BY
WT.
CiIEMIGAL
Diesel Fuel
9
OR
FACII, ITY UNIT ,~
UNIT NA/4E: ].75-01.
OFFICIAl, USE CFIR:;
COMblON NAHE
10
IIAZARI,
C O 1)
Central - CMLQ
*AP~ 366-020-26-027
EbIERGENC¥ CONTACT:
PRINCIPAL BUSINESS
B.D. Lewis
Melvin Byrd
ACTIVITY: Water Purveyor
.TITI, E: Water Quality Assistant SIGNATURE: DATE: .....
TITI. E: District Manager PilONE # BUS HOURS: 324-6011
AFTER BUS JillS: 327-2161
TITLE: General. Superintendent PIIONE It BUS HOURS: 832-2141.
AFTER BUS IlllS: 327-216].
I.D. #
; . . , . ARTMEN'T--
FORM 4A-1
NON--TRADE SECRETS
I'IAZ ARI')OUS MA~I'ERI ALS
OWNER NAME: same
ADDRESS: .. Truxtun *
CITY,ZIP: Bakersfield, CA 93304
PRONE #: 805-832-9144
BIIS !NESS NAblE: California Water Service Company
ADDRESS: ].720 North First Street
CITY, ZIP: San Jose, CA 95112
PHI]NE #: 408-298-14:]~4
I
]'YPE
CODE
2 3
MAX ANNUAL
AMOUNT AMOUNT
?
I. OCATION IN THIS
FACILITY UNIT
Central
*AP#:332-252-05-002
P 285 285
NAME craig Gilmour
EMERGENCY CONTACT:
EMERGENCY CONTACT:
PRINCI}'AL BUSINESS
FACII, ITV
FACILITY [INIT NA/.IE:
/ [OFFICIAl,
, 0 [I [.Y
9
;'affe ..-
CiiEMI~AL OR COl, It, ION NAi'.IE__
Regular Gasoline
B.D. Lewis
Melvin Byrd
T I T I, E: Water Quality Assistant
TITLE:
S I ONATtlRE:
District Manager
ACTIVITY:
Water Purveyor
TITLE;
General
PllONE # BUS IlOIlRS:
AFTER BUS IIRS:
SuperintendentpHoNE # BUS itOIJRS:
AFTER BUS ItRS:
lin IT ,, :
150-01
USE CFIR:; cI;~li
lO
IIAZAI{I,
C 01) ii
CMLQ
DATE:
324-601-'i---
327-2161
832-2141
327-2161
I.D. #
ICA~,D CITY FIRE DEPARTMENT
FORM 4A-I
NON--TRADE SECRETS
I.IAZ ARI'}OIJS MAri'ERI ALS I ~.IVEI>~IT. ORY
P a t; e
BIIS INE.qs NAbiE: California Water Service Company
ADI}RESS: 1720.North First Street
CITY0 ZIP: San Jose, cA 951].2
PIIt)NE #: 408-298-14~4
l
I'YPE
CODE
AHOUNT
NAME
3
ANNiIAL
AMOUNT
P 350 350
Craig Gi
mour
EbIERGENCY CONTACT:
EblERGENCY CONTACT:
PIIINCII'AL BIISINESS
OWNER NAME: Same
ADDRESS: Castro Lane *
CITY,ZIP: Bakersfield, CA 93304
PIIONE #: 805-832-214~4
7
1,0CATION IN TlilS
FACILITY UNIT
8
BY
WT.
CHEM I (;AL
9
OR
FACII, ITY I/NIT ~:
FACILITY UNfT NAt. IE: 113-01
OFFICIAL {JSE CFIR.'; cl~)I-i
0 il i. Y ....
10
IIAZAtll,
C O l) {:'
CObllqON NAME
Central
*AP#:023-520-06-015
- Regular Gasoline CMLQ
TITI, E: Water Quality Assistant S GNATURE:
B.D. Lewis TITLE: District Manager
Me].vin Byrd TITLE: General Superintendent
ACTIVITY: Water Purveyor
DATE:
PIIONE # BUS IlOIIRS: 324-60]] ..................
AFTER Jills [IRS: 327-2161
PIIONE # BIJS HOURS: 832-2141
AFTER IIIJS ]IRS: 327-216]
I.D. #
IlAZ ARI')OIJS
IIIIS I NE.qS NA~IE: California Water Service Company
A~)I)RES.q: 1720 North First Street
(;ITY, ZIP: San Jose, CA 951].2
PII(~NE #: 408-298-14:~4
FORM 4A- 1
NON--TRADE SECRETS
MA~rERI ALS I ~.~VE I>~TORY
OWNER NAME: Same
AIIDRESS: 3333 Stockdale *
CITY,ZIp:Bakersfield, CA 93304
PIiONE #: 805-832-2149
FAf;II, lTV I/NIT ~:
49-02
FACILITY l]~I'[' 'I~At. IE:
0 Il 1. Y . .
l
TYPE
CO[)E
N AI'IE
~IA]{
A~I¢)UNT
285
3
ANNIIA]~
A~IOUNT
285
..... ~rai~ Gilmour
E~IERGENCY CONTACT: B.D. Lewis
?
I. OCATION IN Tills
FACILITY UNIT
Central
*APO: 149-180-02-003
T I T !, I';: Water Quality Assistant S
EPlERGENCY CONTACT: Melvin Byrd
PI~IN(;Ii'A[, BIISINESS ACTIVITY:
6NAT~R£:
TITI, E: District Manager
Water Purveyor
TITLE: General Superintendent
9
CilEMIqAL OR COMblON NA~,IE__
Diesel Fuel
lO
IIA Z,%i~i,
COI) E
PIIONE ~ BIIS IlOilI1S:
AFTER BUS Ill{S:
PilONE # OIlS ttOIIRS:
AFTER llllS iII{S:
DATE:
324-6011
32722161
832-2141
327-2161
Company personnel would deal with any emergency in concert with local emergency
service agencies. Any and all removal of a hazardous material would be conducted
by a private ~ompany specializing in removal of the particular substance.
SECT!O>f S: LOCAL EMERGEh'CY MEDICAL ASSISTANCE FOR v.o~;'R BUSINESS AS A WHOLE
Medical assistance would be provided by Mercy Hospital, Truxtun Avenue, Bakersfield
SECTION S: EMPLOYEE TRAINING
E:.!PLC'.,"ERS ARE REQUIRED TO HAVE A PROGP~A>! WHICH PROVIDES L"!PLOYEES WITH r. NITIAL AND
REFRESHER TRAINING IN THE FOLLOWL~G AREAS.
A. HETHODS FOR SAFE HANDL:NG OF .HAZARDOUS
B. PROCEDURES FOR COORDINATING ACTIVITIES
WITH RESPONSE AGENCIES: .......................... ~ XO
C. PROPER USE OF SAFETY EQUIPXEXT: .................. ~ XO
. ~ .t ~ , ~, . ~ ~-' ~. . , ~ ,
...... .... ..... .._~ ...................... ~ .~
REFRESHER
~> NO
~ NO
SECTION 7: FzAZARDOUS MATERIAL
CIRCLE YES - NO - NONE
DOES YOUR BUSINESS ~4NDLE HAZARDOUS >~TERIAL IN ''"-r ....
QU ....~::~ LESS THA~ ~00 POUXDS OF A
SOLID, 55 GALLONS OF A LIQUID. 0R 200 CUBIC FEET OF A C0>~PRESSED GAS: ...... YES (~
I. Craig Gilmour , certify ~haZ Eke above informazion is accurate.
r un~ers~a~qd zhag chis information will be used Zo fulfill my firm's obi!gallons under
the new California Heai:h and Safety code on Hazardous ~4a~erials (Div. 20 Ckapzer 6.95
Sec. 25500 E~ Al.) and :ha~ inaccurate informazion cons:i2u:es perjury.
TITLE Water Quality Assistant
(805) 32~-3979
OFF;C[AL USE ONLY
US [.YESS h'AME
.rD=
u013 l
i-i_~- .~ki~_~~ C US ~_~vt~k? ~ Y~ -- _'-k3_~ S
BUSINESS PLAN AS A WHOLE
1. To avoid further ~ction, return this form 5y -
g, ~/PE/PR~NT ANSWERS IN ENGLISH.
3. Answer :he ques~!ons be!ow for ~he business as a
4. Be as brief and concise as possible.
SECTION. !: BUSINESS IDE.NTIFICATION DATA
A. BUSI~;ESS NAME: California water Service Company
B. LOCATION / STREET ADDRESS:
CITY: San Jose
1720 North First Street
ZIP: 95112
BUS.PHONE: ( 408) 298-1414
SECTION 2: EMERGENCY NOTIFICATIONS
In case of an emergency involving the release or ~hrea~ened release of a
h~znrdous m~eri~l, c~i! 911 and !-800-8~2-7~0 or I-9!~-q27-4341. This will notify
your ioc~! fire depar~men~ and the St~e Office of Emerzency Services as ~equ!red by
law. .'
EMPLOYEES'TO NOTIFY iN CASE OF EMERGENCY:
NAME AND TITLE DURING BUS. HRS.
A. MelByrd, ksst.DistrictMana~er ?h; 324-6011
AFTER 8US. ERS.
Ph~ 327-2161
Edward Wegemer, Superintendent-Production
832-2141
Ph: 327-2161
SECT!DM
.J. LOCATIOM OF UTILi~f .~hvumit-OFFM 70R BUSI?TESS .'*S A WHOLE
A. NAT. GAS/PROPANE: North of last parking stall near office building.
B. ELECTRICAL: South-east corner of office b'uildinq.
C. WATER:. 10' west of gas meter.
D. SPECIAL: None
E. LOCK BOX: YES /Z~YO~ IF YES, LOCATION: No
IF YES, DOES IT CO~TAD: SrTE PLANS?
FLOOR PLANS?
YES / 5[0
YES ./ XO
MSOSS? YES / NO
KEYS7 YES /